Ethical Insurance Credentialing for Mental Health Providers
A Live Interactive Webinar
December 13, 2024
9:00 AM PT – 11:30 AM PT
2.5 Continuing Education Credits
$75 NAMHP Member Price
$100 Non-Member Price
Course Description:
This 2.5 CE course provides mental health providers with an in-depth understanding of the insurance credentialing process, emphasizing ethical considerations and implications for practice. Attendees will explore the intersection of credentialing with professional ethics, focusing on how participation in insurance networks impacts access to care, client stability, and professional obligations.
The course will cover the requirements for commercial insurance and Medicare credentialing, including the essential provider data systems (e.g., CAQH, NPPES, CMS PECOS), necessary documentation (e.g., NPI numbers, EINs), and key ethical practices for navigating insurance panels responsibly.
Participants will receive the following materials to support their learning and practical application of course content:
NPPES instructional video
Credentialing with Medicare instructional guide & video
CAQH Walkthrough
Step-by-step credentialing checklist for various insurance providers.
Template for maintaining credentialing documentation and tracking updates.
Presented By:
Maureen Kane, MA, LMHC, LCPC
Maureen is a Licensed Mental Health Counselor in private practice in Bellingham, WA, specializing in stress, anxiety, life transitions, illness, caregiving, trauma, and career issues. She is a Washington State-approved supervisor, offering supervision and guidance to associates who aspire to establish their own private practices. An EMDRIA-certified EMDR therapist and approved EMDR consultant, Maureen brings a wealth of expertise to her clinical work. She is also the author of A Guide Back to You: A Workbook for Exploring Who You Are and Staying True to Yourself, a therapeutic resource for personal exploration and self-authenticity. Before becoming a therapist, Maureen held roles as a director and manager within social service agencies and corporations, focusing on literacy, healthcare access, aging, homeless youth, and disability services. Further information about her practice is available at www.maureenkanecounseling.com.
Susie Rigas-Morozowich, LMSW, LCSW
Susie Rigas-Morozowich is the Founder and CEO of TelebehavioralHealth.US, launched in 2016 to address mental health provider shortages and improve care access through a digital model. With 20 years in Clinical Social Work, she focuses on patient-centered care, telehealth innovation, and ethical practices in credentialing and reimbursement. As co-founder of the National Alliance of Mental Health Professionals (NAMHP), she advocates for provider support via education, collaboration, and policy. Her expertise in CBT and Trauma-Informed Care informed the multi-state virtual model at TelebehavioralHealth.US. A pioneer in telehealth, Susie champions ethical standards for fair, transparent systems.
Learning Objectives:
Upon completing this course, participants will be able to:
Explain the ethical implications of insurance credentialing for mental health providers, particularly in terms of client access, continuity of care, and social justice.
Identify the required systems and documentation (e.g., CAQH, NPPES, Medicare PECOS) involved in the credentialing process and describe their role in ethical practice.
Evaluate the impact of contractual terms on client access and care equity, with a focus on obligations to underserved populations.
Describe the ethical responsibilities in maintaining up-to-date credentialing information, including compliance with Medicare Administrative Centers (MACs) and maintaining secure, accurate provider data.
Course Agenda:
Introductions - 9:00-9:05
Why take insurance, credentialing and ethical practices - 9:05 - 9:20
Paneling with commercial insurance & Medicare - 9:20 - 10:45
~Credentialing Process
~Credentialing with Medicare
Contracting process 10:45 - 11:15
~What to do once offered a contract
~Tips
~Myths
Follow-up Discussion & Questions - 11:15-11:30
Target Audience:
This course is designed for licensed social workers and other mental health professionals involved in credentialing or considering insurance participation, aiming to foster a deeper understanding of credentialing ethics and compliance.
Content Level:
Intermediate – This course is intended for professionals with some background knowledge in mental health practice, aiming to build upon existing ethical frameworks with specific applications in insurance credentialing.
Course Interaction & System Requirements
This live webinar is fully interactive. Attendees may ask and answer questions throughout the presentation and participate in instructor-led discussions.
System requirements:
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Operating Systems: Windows XP or higher, MacOS 9 or higher, Android 4.0 or higher
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Internet Browser: Internet Explorer 9.0 or higher, Google Chrome, Firefox 10.0 or higher
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Broadband Internet connection: Cable, High-speed DSL & any other medium that is internet accessible.
Certificates of completion will be emailed within 10 business days of course completion.
Course Completion & CE Information
To earn CE credit, social workers must:
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Log in at the scheduled time.
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Attend the entire course.
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Complete an online course evaluation.
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Complete and pass a posttest with a minimum score of 80%. Participants may retake the posttest up to three times to achieve a passing score.
For questions, concerns, or to request special accommodations, please call: 616-327-2405 or email info@tbhus.com
TelebehavioralHealth.US, #2020, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 6/20/2024 – 6/19/2025. Social workers completing this course receive 2.5 continuing education credits.